The skinny on skin: The role of skin-aware professionals in skin cancer surveillance.

Autor: Diehl K; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA., Nelson J; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA., Haddadin O; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Stoos E; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA., Shafer A; University of Oregon, Eugene, Oregon, USA., Mason A; IMPACT Melanoma, Concord, Massachusetts, USA., Girard D; IMPACT Melanoma, Concord, Massachusetts, USA., Malcolm T; IMPACT Melanoma, Concord, Massachusetts, USA., Geller AC; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Latour E; Biostatistics Shared Resource, Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA., Bailey E; Department of Dermatology, Stanford University School of Medicine, Stanford, California, USA., Young JN; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Zhao H; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Gillespie J; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Pfeifer H; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Lee C; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Shea M; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., DeCampos-Stairiker M; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Smith J; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Becker A; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA.; John A. Burns School of Medicine, University of Hawaii, Manoa, Hawaii, USA., Bash GN; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Sahni V; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Fan Y; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Munoz EP; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Baron D; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Popovici N; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Orfaly VE; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA., Baghoomian W; Oregon Health & Science University, School of Medicine, Portland, Oregon, USA., Foltz E; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA.; Washington State University Elson S. Floyd College of Medicine, Spokane, Washington, USA., Kahlen K; Memo Communications, Seattle, Washington, USA., Savory S; Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA., Jacobe H; Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA., Leachman SA; Oregon Health & Science University, Department of Dermatology, Portland, Oregon, USA.; Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.
Jazyk: angličtina
Zdroj: Journal of cosmetic dermatology [J Cosmet Dermatol] 2024 Sep 01. Date of Electronic Publication: 2024 Sep 01.
DOI: 10.1111/jocd.16536
Abstrakt: Background: Licensed nonmedical, skin-aware professionals (e.g., hairdressers, massage therapists, etc.) have the potential to identify skin cancer, but baseline knowledge may not be sufficient to accomplish this goal. Following educational intervention, self-efficacy is one of the best surrogate metrics for behavior change. Curricula that increase knowledge and confidence levels can improve screening behaviors, but few have been tested for efficacy in this population AIMS: We assessed whether an online curriculum could reliably improve skin screening knowledge, attitudes, and behaviors of nonmedical professionals PATIENTS/METHODS: Skin-aware professionals were recruited through the Oregon Health Authority and IMPACT Melanoma TM. Participants completed a pre-survey, online training module, post-survey, and one-year follow-up survey. We evaluated participants' indicated levels of concern for suspicious and nonsuspicious lesions relative to "gold standard" physician ratings. We also assessed confidence and self-reported behavior change regarding talking to clients about skin cancer and recommending they see a provider to evaluate suspicious lesions RESULTS: The pre-survey was completed by 9872 skin-aware professionals; 5434 completed the post-survey, and 162 completed the one-year follow-up survey. Participants showed a significant improvement in ability to indicate the correct level of concern for all lesion types in concordance with "gold standard" physician ratings (p < 0.001). Participants reported increased comfort levels in discussing health-related topics with their clients posttraining CONCLUSIONS: Our training module effectively increased skin-aware professionals' knowledge, confidence, and concern for malignant lesions. Skin-aware professionals may serve as a valuable extension of the skin self-exam, but additional studies are needed to evaluate the impact of these curricula long-term, including potential downstream consequences.
(© 2024 The Author(s). Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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